PMID- 17187610 OWN - NLM STAT- MEDLINE DCOM- 20070412 LR - 20131121 IS - 0803-5253 (Print) IS - 0803-5253 (Linking) VI - 96 IP - 1 DP - 2007 Jan TI - Improvement of the eradication rate of Helicobacter pylori gastritis in children is by adjunction of omeprazole to a dual antibiotherapy. PG - 82-6 AB - AIM: The possible improvement of efficacy and tolerability of a 7-day dual antibiotherapy amoxicillin-clarithromycin (AC) on the eradication of Helicobacter pylori (H. pylori) gastritis in children by the adjunction of omeprazole (OAC) was studied. METHODS: Forty-six children presenting with H. pylori gastritis, assessed at inclusion by endoscopy, H. pylori urease test, histology and/or culture were randomised to a twice-daily regimen of AC or OAC. A (13)C-urease breath test was performed 4-6 weeks after the end of the treatment period to evaluate H. pylori eradication. RESULTS: A larger proportion of patients was H. pylori negative (69%) in the OAC regimen treatment 4-6 weeks after eradication treatment compared with those who received dual AC therapy (15%). A total of seven patients (three in the OAC and four in the AC group) reported adverse events (AEs). Only vomiting was reported in more than one patient (one in each treatment regimen) and only one AE was severe (urticaria: in the OAC group, but considered not related to treatment). CONCLUSION: A larger eradication rate of H. pylori was obtained in the triple OAC group than in the dual AC group. Both therapy regimens can be safely administered to children for 7 days. FAU - Cadranel, S AU - Cadranel S AD - Queen Fabiola Children's Hospital, Brussels, Belgium. FAU - Bontemps, P AU - Bontemps P FAU - Van Biervliet, S AU - Van Biervliet S FAU - Alliet, P AU - Alliet P FAU - Lauvau, D AU - Lauvau D FAU - Vandenhoven, G AU - Vandenhoven G FAU - Vandenplas, Y AU - Vandenplas Y LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Norway TA - Acta Paediatr JT - Acta paediatrica (Oslo, Norway : 1992) JID - 9205968 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Ulcer Agents) RN - 804826J2HU (Amoxicillin) RN - EC 3.5.1.5 (Urease) RN - H1250JIK0A (Clarithromycin) RN - KG60484QX9 (Omeprazole) SB - IM MH - Adolescent MH - Amoxicillin/therapeutic use MH - Anti-Bacterial Agents/*therapeutic use MH - Anti-Ulcer Agents/*therapeutic use MH - Breath Tests MH - Child MH - Child, Preschool MH - Clarithromycin/therapeutic use MH - Double-Blind Method MH - Drug Therapy, Combination MH - Female MH - Gastritis/*drug therapy/*microbiology MH - Helicobacter Infections/diagnosis/*drug therapy MH - *Helicobacter pylori MH - Humans MH - Male MH - Omeprazole/*therapeutic use MH - Treatment Outcome MH - Urease/metabolism EDAT- 2006/12/26 09:00 MHDA- 2007/04/14 09:00 CRDT- 2006/12/26 09:00 PHST- 2006/12/26 09:00 [pubmed] PHST- 2007/04/14 09:00 [medline] PHST- 2006/12/26 09:00 [entrez] AID - APA011 [pii] AID - 10.1111/j.1651-2227.2006.00011.x [doi] PST - ppublish SO - Acta Paediatr. 2007 Jan;96(1):82-6. doi: 10.1111/j.1651-2227.2006.00011.x.